The deadline for applications has been extended to Monday May 29th, 2017. Applicants will be notified in the following week if they have been selected. There are a maximum of 22 places available on the course. However, the course will only take place with a minimum of 14 successful applications.

Personal information

First Name

Last Name

Address

City

Postcode

Country

Phone contact

Email

Date of Birth

Gender

Male Female

Academic / ProfessionalPlease tell us about your current status. If you are in full or part-time study please state your course and institution. If you are involved in professional practice please state your area of practice.

PortfolioPlease indicate a web link in which examples of your work can be viewed, or submit a PDF file.

Emergency contact

First Name

Last Name

Relationship

Phone contact

Email

Do you have any medical conditions that you want us to be aware of? Please describe.